Sectio Caesaria ( SC )

SECTIO CAESARIA

Caesarean surgery is only done if there is congestion on normal delivery or if there are problems during delivery which can threaten the life of the mother and fetus . Circumstances which require a caesarean section , for example, fetal distress , birth canal closed placenta ( placenta previa totalis ) , meacet delivery , maternal hypertension ( preeclampsia ) , a baby in a breech or transverse position , as well as bleeding before delivery.

In some circumstances , this action can be planned caesarean section or decided far in advance. This operation is called an elective caesarean section . This condition made ​​where doctors found no medical problems in the mother or the mother has a disease , so it is not possible for a normal delivery . For example, maternal diabetes , HIV / AIDS , or heart disease , can be done by elective caesarean or emergency (emergency ) . Mean elective surgery done with careful planning long before the time of delivery . While emergency caesarean meant to do when labor is in progress , but as a state of emergency caesarean section should then be done .

Planned Caesarean section ( elective )
At a planned caesarean section ( elective ) , caesarean section was planned well before the scheduled delivery by considering the safety of both mother and fetus . Some circumstances be considered to be elective caesarean section , among others :

1. Fetus with breech presentation : Do caesarean section in breech fetus at first pregnancy , suspicion of the fetus cukp labor bottlenecks that can occur ( feto PELPIC disproportion ) , fetuses with his head thrown back ( deflection ) , fetuses with umbilical cord winding , or a fetus with feet presentation .
2. Twin pregnancies : At the bottom of a twin pregnancy fetal presentation seen whether the head , buttocks , or transverse . Vaginal delivery is still possible if the percentage is second fetus heads . However , thought to doing the first caesarean section in cases of fetal / bottom in addition to the presentation of the head. on ultrasound also see whether each fetus has its own amniotic sack separate , or they just have one amniotic sack . In the case of twin pregnancy with fetal amniotic only have one bag , the risk to each hook / concerns with each other going higher , so need to do caesarean terencana.Pada multiple pregnancy with fetal number more than two ( eg 3 or more ) , it is advisable to perform planned caesarean section .
3. Placenta previa : means the placenta is covering the cervix and below . Because before birth the fetus gets oxygen and food supply , it is not possible placenta as media suppliers birth / first separated from the fetus because it can lead to fetal death . The placenta consists of a lot of blood vessels , the location of the placenta covering the birth canal , is very prone to bleeding . If the contraction of the uterus , the part of the placenta is rich in blood vessels will detach and cause severe bleeding that can threaten the life of the fetus and the mother .
4. Maternal medical conditions : pre-eclampsia , diabetes ( diabetes mellitus ) , herpes , HIV / AIDS , heart disease , chronic lung disease , or tumors of the uterus ( myomas ) are the size besaratau cover birth canal , cysts that block fetal descent , as well as a variety of other circumstances are the things that lead to a cesarean section is preferred .
5. Problems in the fetus : Mass in fetuses with oligohydramnios ( amniotic fluid bit ) or fetuses with developmental disorders .

Caesar Opereasi Emergency ( Emergency )
The definition of an emergency cesarean section if the operation is carried out when the delivery process has been going on . This had to be done because there are problems in the mother and fetus . Some of the circumstances that forced an emergency caesarean section , among others :

• Obstructed Labor

This situation can occur in the first phase ( phase lilatasi ) or second phase ( when you push ) . If obstructed labor in the first phase , the doctor will give a drug called oxytocin to strengthen contractions of the muscles of the uterus . Thus the cervix can open . There are other techniques , which break the amniotic membrane or give cairaan intrafena if you are short infusion fluids / dehydration . If in ways that did not work , then it will do a cesarean section .
If labor stalled in the second phase , the doctor must decide soon whether assisted delivery with forceps or vacuum or caesarean section should be done immediately . Things into consideration to proceed with a vaginal delivery ( assisted ) or cesarean section , depending on the decrease in the bottom of the fetal head dikes , levees state capital , and the presence or absence of gravity on the fetus .
Obstructed labor is a common cause of cesarean section . Some reasons are taken into consideration is no longer effective contractions , the fetus is too large while a narrow birth canal mother , and fetal head position which allows the withdrawal tadak with vacuum or forceps .

• Fetal Distress

When the fetus is stressed , he will lack of oxygen . On clinical examination tanpak that fetal heart rate decreases . Normally , during the contraction of the fetal heart rate decreased slightly , but will return to his native prekwensi , if :

1. Umbilical cord prolapse : if the cord out through the mouth of the womb , he can pinch, so the blood and oxygen supply is reduced kejanin . This situation is dangerous if the fetus is abnormal vaginal birth , cesarean section requiring immediate action .
2. Hemorrhage : If you experience heavy bleeding due to placenta separates from the uterus , or for any other reason , then it should do a cesarean section .
3. Stress fetal weight : If the fetal heart rate dropped to 70x per minute , then a cesarean section should be done immediately . Normal fetal heart rate is 120/160x per minute .

Healing process

On the first day after birth , if necessary , you are given the drug in low doses . Some doctors will allow you to start eating solid in the first 24 hours . Those that wait until you pass gas ( fart ) which indicates that the gut is functioning normally .
On the second day , you will feel uncomfortable in the abdomen . This happens because the digestive organs are back to normal after beraktipitas got painkillers that stop aktipitasnya .
Healing each mother is different depending on the durability and the effects of drugs used . If during the monitoring of your condition is stable , then the doctor will let you go home . Do not forget to return control medicine , approximately after two weeks.

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Benefits Delivery Normally ( Partus Normal )

NORMAL CHILDBIRTH

Although painful , many mothers who fight for a normal delivery . In the opinion of some people with a normal delivery , a woman had to be a woman completely. But , behind that opinion , a normal delivery it also has many benefits for both mother and baby .  

 

Here are some of the advantages a normal delivery :

• Faster recovery. During labor , the struggle of mothers who will give birth to normal may be more severe than those delivered through the operation . However , the process of childbirth is completed , the mother who gave birth to normal will undergo the process of recovery is much faster . Do not be surprised if at least six hours after giving birth , the mother has been " forced " and was able to walk alone anywhere . According to the story of the woman who gave birth to normal , postpartum recovery process much faster .

• Free Moving Quickly. Because it did not undergo major surgery and stitches are much like that experienced by mothers who give birth through the operation , the woman who gave birth to normal more quickly able to move freely . A day after giving birth , the mother who gave birth to normal was able to walk and move freely without the need to feel the pain of stitches from surgery that has not dried . The advantage is that you can more quickly so take care of yourself and your baby establish a stronger bonding with the newborn baby .

• Inner bonding has Stronger. During childbirth , the mother and baby in the womb are both struggling . For this reason, women who deliver vaginally have a stronger bond with his son . Through MRI test , found that sensitivity that governs emotion and motivation in the brain of the mother who gave birth to normal , the figure was higher . Because this is what makes the mother who gave birth normally to be more responsive to the cry of a baby .

• Easier IMD. Still related to the bond , normally babies born more and more interested in doing Early Initiation of Breastfeeding or IMD . Because the bond that already exists between the new mother with a strong and her baby , they are so easy to work together doing breastfeeding for the first time . As already known , the first time for breastfeeding mothers and babies not as easy as it looks and requires patience and cooperation of both parties .

• Healthier Babies. Useful addition to the mother , normal delivery also has many benefits for babies . Much research is clear on this , one of them is going to have a baby lungs stronger because at birth through the vagina , there is the process of transporting oxygen to body tissues baby . That's what causes babies born through normal processes have a lower risk of disruption . They say that babies born normally would have a higher power struggle since has been struggling to be born from the womb of his mother .

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